HOUSE BILL No. 4438

 

March 20, 2003, Introduced by Reps. Ehardt, Taub, Brandenburg, Vander Veen and Shaffer and referred to the Committee on Health Policy.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1956 PA 218, entitled                                             

                                                                                

    "The insurance code of 1956,"                                               

                                                                                

    (MCL 500.100 to 500.8302) by adding section 3406l.                          

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 3406l.  (1) An expense-incurred hospital, medical, or                  

                                                                                

2   surgical policy or certificate delivered, issued for delivery, or           

                                                                                

3   renewed in this state that provides benefits for medical                    

                                                                                

4   transportation services and a health maintenance organization               

                                                                                

5   contract delivered, issued for delivery, or renewed in this state           

                                                                                

6   shall provide for direct reimbursement to any provider of covered           

                                                                                

7   medical transportation services if that provider has not received           

                                                                                

8   payment for those services from any other source.                           

                                                                                

9       (2) Subsection (1) does not apply to a transaction between an               

                                                                                

10  insurer or health maintenance organization and a medical                    

                                                                                

11  transportation service provider if the parties have entered into            

                                                                                


                                                                                

1   a contract providing for direct payment.                                    

                                                                                

2       (3) Subsection (1) is satisfied if an insured or enrollee                   

                                                                                

3   files a claim for the medical transportation service with the               

                                                                                

4   insurer or health maintenance organization, the insurer or health           

                                                                                

5   maintenance organization pays the medical transportation service            

                                                                                

6   provider directly, and the medical transportation service                   

                                                                                

7   provider does not demand payment from the insured or enrollee               

                                                                                

8   until receiving payment from the insurer or health maintenance              

                                                                                

9   organization, after which the medical transportation service                

                                                                                

10  provider may demand payment from the insured or enrollee for any            

                                                                                

11  unpaid portion of the provider's fee.                                       

                                                                                

12      Enacting section 1.  This amendatory act takes effect                       

                                                                                

13  January 1, 2004.